[Federal Register Volume 71, Number 184 (Friday, September 22, 2006)]
[Notices]
[Pages 55478-55479]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-8072]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10182, CMS-10194, CMS-R-136 and CMS-10185]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this burden 
estimate or any other aspect of this collection of information, 
including any of the following subjects: (1) The necessity and utility 
of the proposed information collection for the proper performance of 
the Agency's function; (2) the accuracy of the estimated burden; (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Model Creditable 
Coverage Disclosure Notices; Use: Section 1860D--1 of the MMA requires 
entities that offer prescription drug benefits under any of the types 
of coverage described in 42 CFR 423.56(b) to provide a disclosure of 
creditable coverage status to all Medicare Part D eligible individuals 
covered under the entity's plan. These disclosure notices must be 
provided to Part D eligible individuals, at a minimum, at the following 
times: (1) Prior to an individual's initial enrollment period for Part 
D, (2) prior to the effective date of enrollment in the entity's 
coverage, and upon any change in creditable status; (3) prior to the 
commencement of the Part D Annual Coordinated Election Period (ACEP) 
which begins on November 15 of each year, and (4) upon request by the 
individual. Disclosure of whether prescription drug coverage is 
creditable provides Medicare eligible individuals with important 
information relating to their Medicare Part D enrollment. Form Number: 
CMS-10182 (OMB<greek-i>: 0938-0990); Frequency:

[[Page 55479]]

Reporting: Yearly and Semi-annually Affected Public: Business or other 
for-profit, Not-for-profit institutions and Federal, State, local or 
tribal government; Number of Respondents: 450,160; Total Annual 
Responses: 1,225,173; Total Annual Hours: 522,204.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Mail Survey of Medicare Advantage Special Needs 
Plans (SNPs)/Focus Groups with Enrollees of Medicare Advantage SNPs; 
Use: CMS is conducting an evaluation of Medicare Advantage Special 
Needs Plans (SNPs), which includes developing profiles of all SNPs that 
describe the structure and operation of these plans. A one-time short 
mail questionnaire will gather information about SNPs that is not 
available from other sources, such as reason for becoming a SNP, and 
information on care coordination. One-time 90-minute focus groups 
conducted during site visits to 15 SNPs will provide information on 
beneficiary experiences in SNPs, including decision to enroll and use 
of special services. Form Number: CMS-10194 (OMB<greek-i>: 0938-NEW); 
Frequency: Reporting--One-time; Affected Public: Business or other for-
profit, Not-for-profit institutions; Number of Respondents: 350; Total 
Annual Responses: 350; Total Annual Hours: 395.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Proper Claim Not 
Filed and Supporting Regulation in 42 CFR 411.32(c); Use: Section 
411.32(c) requires physicians, providers, other suppliers, and 
beneficiaries, in case where they failed to submit a proper claim with 
a third party payer to report these situations on the current Medicare 
forms. The primary payer will notify the physician, provider, other 
supplier, or beneficiary of the amount normally payable, the amount of 
the reduction payable because the claim was not filed properly, and the 
amount the physician, provider, other supplier, or beneficiary is being 
paid under the ``primary plan'' due to the reduction. The information 
is transmitted on an explanation of benefits or remittance advice 
determination that third party payers provide to all covered 
individuals and physicians, providers and other suppliers as part of an 
industry practice. The information contained in this explanation, 
whether or not it concerns improperly filed claims, is submitted to 
Medicare as part of the claims process. Form Number: CMS-R-136 
(OMB<greek-i>: 0938-0564); Frequency: Reporting--On occasion; Affected 
Public: Business or other for-profit, Not-for-profit institutions, and 
Individuals or Households; Number of Respondents: 1,129,000; Total 
Annual Responses: 1,129,000; Total Annual Hours: 1.
    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Part D 
Reporting Requirements and Supporting Regulations under 42 CFR 423.505; 
Use: Data collected via Medicare Part D Reporting Requirements will be 
an integral resource for oversight, monitoring, compliance and auditing 
activities necessary to ensure quality provision of the Medicare 
Prescription Drug Benefit to beneficiaries. Data will be validated, 
analyzed, and utilized for trend reporting by CMS. If outliers or other 
data anomalies are detected, CMS will work in collaboration with other 
CMS divisions for follow-up and resolution. Form Number: CMS-10185 
(OMB<greek-i>: 0938-0992); Frequency: Reporting: Quarterly and Semi-
annually; Affected Public: Business or other for-profit; Number of 
Respondents: 3,203; Total Annual Responses: 179,368; Total Annual 
Hours: 122,902.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or 
e-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#f1a190819483869e839ab1929c82df999982df969e87"><span class="__cf_email__" data-cfemail="346455445146435b465f745759471a5c5c471a535b42">[email protected]</span></a>, or call the 
Reports Clearance Office on (410) 786-1326.
    Written comments and recommendations for the proposed information 
collections must be mailed or faxed within 30 days of this notice 
directly to the OMB desk officer: OMB Human Resources and Housing 
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room 
10235, Washington, DC 20503, Fax Number: (202) 395-6974.

    Dated: September 15, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 06-8072 Filed 9-21-06; 8:45 am]
BILLING CODE 4120-01-P


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